| NPI | 1164755740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILEE BITNER Owner 435-659-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: UT 311890-9922) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |